Volunteer to Tutor

Last Name: First Name: Middle Name:

Email Address: UVID: Phone Number:

Address: City:

Instructor's Email: Class: Section:

Service Learning? Yes No Spanish Speaking? Yes No Transportation? Yes No

Are you willing to accept training, and direct supervision from teachers, coordinators,
and others involved in the program administration? Yes* No *By selecting yes, you signify that you are willing to participate in various trainings,
supervision, etc.